| Entity Name: | PREMIER WELLNESS MEDICAL CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Jun 2019 (6 years ago) |
| Document Number: | P19000052822 |
| FEI/EIN Number | 84-2393271 |
| Address: | 2780 SW 87TH AVE, 108, MIAMI, FL 33165 |
| Mail Address: | 2780 SW 87TH AVE, 108, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598300543 | 2019-11-14 | 2019-11-14 | 2780 SW 87TH AVE STE 108, MIAMI, FL, 331653296, US | 2780 SW 87TH AVE STE 108, MIAMI, FL, 331653296, US | |||||||||||||||||||||
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| Phone | +1 786-817-2979 |
| Fax | 7864092024 |
Authorized person
| Name | YOSVANY PEREZ LEMUS |
| Role | PRESIDENT/OWNER |
| Phone | 3058349626 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OSTEOPATHIC PHYSICIAN MEDICAL LICENSE |
| Number | OS15495 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, YOSVANI | Agent | 2780 SW 87TH AVE, 108, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| PEREZ, YOSVANI | President | 2780 SW 87TH AVE SUITE 108, MIAMI, FL 33165 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-03-18 |
| Domestic Profit | 2019-06-21 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
